MADRASATUN NOOR CHILDCARE AND LEARNING INSTITUTE

Free from contagious/communicable disease (3270.131(d)(7))

During the unannounced inspection conducted 12/26/25, the health assessment reviewed for child #1 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. (Continued noncompliance from the renewal inspection conducted 11/17/25). Requirement: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease. Correction: The parent/guardian of Child #1 will obtain an updated health assessment that includes the required statement confirming that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Upon receipt, the updated health assessment will be placed in the child's file immediately. The parent/guardian deadline to submit this documentation is 12/30/2025. If the required documentation is not received by this date, the child will be disenrolled from the program in accordance with licensing requirements. Inspection: Unannounced Monitoring. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Free from contagious/communicable disease (3270.131(d)(7))

During the renewal inspection conducted 11/17/25, the health assessment reviewed for child #5 did not include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Requirement: A health report shall include a statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease. Correction: Child #5 Physical will be obtained and updated utilizing the DHS form. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

During the renewal inspection conducted 11/17/25, upon request there was no prevention and identification of child maltreatment policy available for review. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Correction: A Prevention and Identification of Child Maltreatment Policy has been developed and posted in the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Training regarding plan (3270.27(c))

During the renewal inspection conducted 11/17/25, the emergency plan training reviewed for staff person #1, #3 and #4 was not annually updated. Staff #1 and #3 last dated 9/3/24 and staff #4, 3/8/23. Requirement: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. Correction: All staff emergency plan training has been updated and completed. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Fire safety - 1 yr. (3270.31(e)(4)(ii))

During the renewal inspection conducted 11/17/25, the fire safety training reviewed for staff person #1 and #4 was not updated on an annual basis. Last dated 1/26/24 and 5/17/22. There was no verification available for review to verify staff #3 completed fire safety training. Requirement: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. Correction: Verification of all completed trainings will be obtained and placed in each staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

During the renewal inspection conducted 11/17/25, the file reviewed for facility person #2 (see code sheet for hire date) did not contain a completed child abuse clearance, DHS FBI clearance, state police clearance or NSOR verification and was observed working with children. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #2 -- may not work in a childcare position at the facility. Correction: Staff was immediately removed from working in a childcare position. Staff will be terminated immediately and replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

During the renewal inspection conducted 11/17/25, upon request there was no verification available for review to verify staff person #3 and #4 receives a minimum of one evaluation every 12 months. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Annual evaluations for staff will be completed and documented by December 6th, 2025. All evaluations will be placed in each staff file. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

8th grade + 2 yrs/Exp, educ., training prior to facility (3270.37(b)(3)/3270.192(2)(ii))

During the renewal inspection conducted 11/17/25, the record reviewed for staff person #2 did not include verification of childcare experience or education. Requirement: An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of childcare experience, education and training prior to service at the facility. Correction: Staff was immediately removed from working in a childcare position. Staff will be terminated immediately and replaced. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Handwashing signs (3270.82(h))

During the renewal inspection conducted 11/17/25, there were no handwashing signs observed over each toilet, training chair, diapering area and sink in the facility with the regulatory language, A facility person and an able child shall wash his hands after toileting and before eating. Requirement: A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. Correction: Handwashing signs with the required language will be posted at every toilet, and sink.. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Services proceeded (3270.123(a)(3))

During the renewal inspection conducted 11/17/25, the agreement reviewed for child #2 and #4 did not include the services to be provided to the family and the child. Requirement: The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information). Correction: The service information will be updated and added immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Designated release persons (3270.123(a)(5))

During the renewal inspection conducted 11/17/25, the agreement reviewed for child #3 did not specify the persons designated by a parent to whom the child may be released. Requirement: An agreement shall specify the persons designated by a parent to whom the child may be released. Correction: The designated release persons for child #3 will be added by the parent to the child's agreement immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent/Consent for emergency medical care required prior to admission (3270.124(b)(4)/3270.182(3))

During the renewal inspection conducted 11/17/25, the emergency contact reviewed for child #1, #2 and #5 did not include the written consent signed by a parent for emergency medical care. Requirement: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. Correction: Signed parent consent for emergency medical care for children #1, #2, and #5 will be obtained immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Insurance coverage information (3270.124(b)(6))

During the renewal inspection conducted 11/17/25, the emergency contact reviewed for child #5 did not include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits. Requirement: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable. Correction: Health Insurance coverage and policy number for child #5 will be obtained and added to the child's emergency contact immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Immunization record/Exemption documentation from parent/guardian (3270.131(d)(5)/3270.131(e)(1))

During the renewal inspection conducted 11/17/25, the health assessment reviewed for child #3 did not include a review of the child's immunized status. Requirement: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. Correction: An exemption letter will be obtained and added. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

During the renewal inspection conducted 11/17/25, the record reviewed for staff person #2 did not include an initial health assessment including the results of initial and subsequent tuberculin skin tests. The health assessment reviewed for staff person #4 was not updated within a 24month period. Last dated 9/7/22. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: The Health assessment will be updated and added to the files. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Consent for administration of minor first-aid required prior to admission (3270.182(5))

During the renewal inspection conducted 11/17/25, the emergency contact reviewed for child #1, #2 and #5 did not include the signed parental consent for administration of minor first-aid procedures by facility staff. Requirement: A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission. Correction: Signed parental consent for minor first aid procedures will be obtained immediately. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e))

During the renewal inspection conducted 11/17/25, upon request there was no verification available for review to verify staff person #4 completed an annual minimum of 12 clock hours of childcare training. Requirement: A staff person shall obtain an annual minimum of 12 clock hours of child care training. Correction: The staff's annual 12 clock hours of child care training will be obtained by December 6th, 2025. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pick-up and drop-off points (3270.171(a))

During the renewal inspection conducted 12/2/24, upon request there was no verification available for review to verify that the facility notified their local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility. Requirement: An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the childcare facility. Correction: We will notify the local traffic safety authorities annually in writing. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(f))

During the renewal inspection conducted 12/2/24, upon request there was no verification available for review to verify the facility sent their emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Requirement: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency. Correction: We will send emergency plan to designated organization. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Evacuation routes posted (3270.94(a)(5))

During the renewal inspection conducted 12/2/24, there were no evacuation routes posted in a conspicuous location on each floor of the facility. Requirement: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that evacuation routes are posted in a conspicuous location on each floor of the facility. Correction: The evacuation routes will be hanging in a public area in the facility. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency plan (3270.27(a)(6))

During the renewal inspection conducted 12/2/24, upon request there was no emergency drill log available for review to verify the facility conducts annual emergency drills. Requirement: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility. Correction: We will conduct emergency drills promptly. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

During the renewal inspection conducted 12/2/24, the agreement reviewed for child #1 and #2 was not updated within a 6-month period. Both dated 9/18/23. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: The agreement will be updated. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Building Surfaces (3270.76)

During the renewal inspection conducted 12/2/24, water stains were observed on the ceiling tile in the front main childcare space and bathroom. Requirement: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Correction: Water stains will be prepared by building owner promptly. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Staff evaluations (3270.34(a)(6))

During the renewal inspection conducted 12/2/24, upon request there was no annual evaluation available for review to verify staff #1 received a minimum of one evaluation every 12 months. Requirement: A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months. Correction: Director will complete staff evaluation. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).